A lawsuit filed against Blue Shield of California, an insurance company, is seeking to be certified as a class action lawsuit. A class action lawsuit is one in which multiple individuals with similar complaints against the same defendants can join together in one large lawsuit instead of being forced to bring individual lawsuits.
Two individuals who have suffered from limb loss are bringing this lawsuit against Blue Shield. One of the individuals had an amputation of his left leg and sought authorization from Blue Shield for a microprocessor-controlled foot prosthesis. Blue Shield denied the claim on the basis that a microprocessor-controlled prosthesis is always investigational and therefore excluded. The other plaintiff was forced to pay a large amount of money for his prosthesis after he was unable to find an in-network prosthetist and had to use an out-of network prosthetist.
The lawsuit is seeking certification of two classes of individuals. The first is everyone covered under Blue Shield of California’s health plans whose requests for microprocessor-controlled foot prostheses have been denied. The second is everyone covered under Blue Shield of California’s health plans whose requests for prosthetic lower limb devices were paid by Blue Shield to out-of-network providers.
If you fall into either of those categories, call me, Conal Doyle, Los Angeles personal injury attorney. I am one of the attorneys working on the lawsuit, and I can help. Call my office today at 310-385-0567 to learn more or to schedule a free consultation on your case.